NUR 110 Exam 3
- A nurse is educating adolescents on how to prevent infections. What statement by one of
the adolescents indicates that more education is needed?
- "I don't wear a condom when I have sex, but I know my partners."
- "I will wash my hands before and after going to the bathroom."
- "When I have an infection, I rest and take my medications."
- "I always eat fruits and vegetables, and I sleep eight hours a night."
- "I don't wear a condom when I have sex, but I know my partners."
Answer
- What is the correct rationale for using body substance precautions?
- Disease-specific isolation procedures are adequate protection.
- The risk of transmitting HIV in sputum and urine is nonexistent.
- Only actively infected clients are considered contagious.
- All body substances are considered potentially infectious.
- All body sub- stances are considered potentially infectious.
Answer
- A nurse is changing the bed linen of a client admitted with MRSA. Which of the following
- Standard precautions
- Droplet precautions
- Airborne precautions
- Contact precautions
- Contact precautions
isolation precautions should the nurse follow?
Answer
- What nursing action will assist in pain management for a client in the postoperative phase?
- Client teaching
- Dim lighting
- Relaxation techniques 1 / 4
- Provide food and medication
- Relaxation techniques
Answer
- A nurse is assessing a patient's pain. The nurse notes which of the following database
- Decreased pulse rate
- Pupil constriction
- Increased blood pressure
- Decreased respiratory rate
- Increased blood pressure
findings that is indicative of acute pain?
Answer
- When the patient who has been hospitalized for 8 days for skin grafting tells the nurse that he
- Deprivation
- Overload
- Adaptation
- Perception
- Deprivation
is bored, depressed, and restless, the nurse determines that the patient is experiencing sensory
Answer
- A client tells his nurse that he has difficulty hearing related to working in a loud factory
- Sensory stimulation
- Sensory deprivation
- Sensory deficit
- Sensory overload
- Sensory deficit
setting for 15 years. What is the term for this condition?
Answer
- The nurse and nursing aid are providing perineal care for an incontinent client. What
information is important for the nurse to consider when providing perineal care? 2 / 4
- Wash the perineal area frequently with soap and water.
- Aggressively cleanse the perineal area with a washcloth or towel.
- Provide excessive hydration to the skin of the perineal area.
- Apply moisture barriers to the skin of the perineal area.
- Apply moisture barriers to the skin of the perineal area.
Answer
- A patient has been admitted to the acute care unit after surgery to debride an infected skin
- Primary intention
- Quadratic intention
- Tertiary intention
- Secondary intention
- Tertiary intention
ulceration. The surgeon reports plans to leave the wound open to promote drainage. This represents what type of wound healing?
Answer
- A nursing student is providing a complete bed bath to a 60-year-old diabetic patient.The
- A rash related to a yeast infection
- A rash related to immobility
- An allergic reaction to detergent
- An allergic reaction to medications
student is conducting an assessment during the bath. The student observes a red raised rash under the patient's breasts. This manifestation is most consistent with which of the following conditions?
Answer
- A rash related to a yeast infection
- Gender Identity vs. Biological Sex
Answer Gender Identity is how you feel on the inside in regards to you sex; biological sex is assigned at birth based upon your external/internal genitalia
- In completing an admission history, the nurse learns that the female client has a female 3 / 4
sexual partner. This data speaks to the client's
- Sexual Bias
- Gender Role
- Gender Identity
- Sexual Orientation
- Sexual Orientation
Answer
- Factors affecting sexuality
Answer -culture -religion -lifestyle -knowledge about sex -health status -social context
- During a well-checkup visit, a 14-old-girl asks you if it is okay to masturbate. Which
- "You should not be thinking sexually at your age."
- "Can you explain what you mean by 'masturbate'?"
- "You need to discuss sex with your parents because you are a minor."
- "This is one way to express sexuality. Let's explore your sexual knowledge and sexuality."
- "This is one way to express sexuality. Let's explore your sexual knowledge and sexuality."
statement by the nurse best demonstrates self-knowledge?
Answer
- How should a nurse approach obtaining a sexual history from a patient?
- Examine your own beliefs, convey a nonjudgmental and relaxed approach, provide privacy
Answer
and confidentiality
- The 17-year-old client comes to the clinic. She states to the nurse, "I think I have an infection
- / 4